Berry, Carol Dawn
Berry, Carol Dawn is an individual health care provider with primary practice located at 4150 V Street, Suite 6500 , Sacramento CA 95817-4671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Berry, Carol Dawn can be contacted via phone (916) 734-8516.Contact Information
Primary practice address
4150 V Street, Suite 6500
Sacramento CA 95817-4671
Phone: (916) 734-8516
Fax: (916) 734-7766
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G45158 | California |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G-45158 | California |
Profile Details
NPI number | 1669550307 |
---|---|
LBN Legal business name | Berry, Carol Dawn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Oct 7th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669550307 | NPPES |
California | MEDICAID | 00G451580 |
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